Initial hospital care, moderate complexity in Pennsylvania
What Pennsylvania hospitals charge for initial hospital care, moderate complexity (CPT 99222). Rates sourced from federally-mandated machine-readable files.
Hospitals
14
Rate rows
167
Neg. median
$158.52
Min
$68.27
Max
$650.56
Cash median
$105
Across 14 Pennsylvania hospitals, the negotiated rate for Initial hospital care, moderate complexity ranges from $68.27 to $650.56, with a median of $158.52. The interquartile range is $121.34 to $270.06. Cash-pay patients typically pay $105; gross charges median $404.
By payer in Pennsylvania
Top 21 payers for Initial hospital care, moderate complexity in Pennsylvania.
| Payer | Hospitals | Rates | Median rate |
|---|---|---|---|
| Blue Cross Blue Shield | 3 | 12 | $259.12 |
| Aetna | 3 | 12 | $219.47 |
| ibc | 2 | 6 | $134.44 |
| UnitedHealthcare | 2 | 6 | $131.25 |
| upmc health plan | 2 | 7 | $175 |
| Humana | 1 | 3 | $323.2 |
| intergroup | 1 | 2 | $323.2 |
| intergroup service corp | 1 | 2 | $181.13 |
| jup geisinger commercial | 1 | 3 | $225.8 |
| jup health partners chip | 1 | 4 | $103.99 |
| jup pa health_wellness | 1 | 1 | $132.52 |
| Medicaid | 1 | 6 | $109.08 |
| Medicare | 1 | 3 | $125.75 |
| Multiplan | 1 | 4 | $323.2 |
| pa health & wellness | 1 | 3 | $122.17 |
| abington pro ibc | 1 | 4 | $144.1 |
| upmc work partners | 1 | 1 | $251.27 |
| amerihealth caritas | 1 | 3 | $115.95 |
| Cigna | 1 | 1 | $118.78 |
| galaxy health plan | 1 | 2 | $323.2 |
| geisinger | 1 | 3 | $303 |
Hospital comparison — Initial hospital care, moderate complexity in Pennsylvania
Sorted by lowest negotiated median rate. Up to 100 hospitals.
| Hospital | City | Negotiated median | Cash rate | Gross charge |
|---|---|---|---|---|
| Thomas Jefferson Univ. Hospital | Philadelphia | $134.44 | — | — |
| Aria Health | Philadelphia | $144.1 | $139 | $237.5 |
| Curahealth Heritage Valley | Beaver | $153.08 | $65.21 | $241.5 |
| Charles Cole Memorial Hospital | Coudersport | $282.8 | $242.4 | $404 |
| Windber Hospital Inc. | Windber | — | $180.2 | $212 |
| Pottstown Memorial Medical Center | Pottstown | — | $105 | $420 |
| Phoenixville Hospital | Phoenixville | — | $105 | $420 |
| Butler Memorial Hospital | Butler | — | — | — |
| Physicians Care Surgical Hospital | Royersford | — | — | $50 |
| Holy Spirit Hospital | Camp Hill | — | $88.87 | $372 |
| Haven Behavioral Svcs Of Reading Llc | Reading | — | — | $373 |
| Chestnut Hill Hospital | Philadelphia | — | $105 | $420 |
| Reading Hospital And Medical Center | Reading | — | $294 | $420 |
| Clarion Hospital | Clarion | — | — | — |